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NPI Code Detail

MEDICARE: KAVITA PATEL OTR/L

MEDICARE: KAVITA PATEL OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist25159CA
2225X00000XOccupational Therapist118434TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1118434OTHERTXTX BOARD OF OT

General Provider Information

NPI Number : 1346765310
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAVITA PATEL OTR/L
Provider Business Mailing Address
First Line : 1063 MCGAW AVE
Second Line :
City : IRVINE
State : CA
Zip : 92614-5505
Country : US
Telephone Number : 714-834-1111
Fax Number :
Provider Business Practice Location Address
First Line : 1836 SANTA FE DR
Second Line :
City : WEATHERFORD
State : TX
Zip : 76086-6422
Country : US
Telephone Number : 817-341-7611
Fax Number : 817-292-0572
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2017
Last Update Date : 08/21/2024

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Directions to “ KAVITA PATEL OTR/L” Practice Location

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